News and Facts

Dr. Fiala – visiting Professor at University of Michigan

Posted on February 20, 2011

Last week, I had the pleasure to be invited to give two teaching presentations to the residents in the Section of Plastic Surgery of the University of Michigan Medical Center in Ann Arbor. The talks, about cosmetic surgery and the basics of running a practice, were well received by the residents. Dr. Bill Kuzon, the Chief of […]

Channel 6 interview on awake breast augmentation

Posted on February 3, 2011

“Awake Breast Augmentation Surgery” If you were up early this morning, you might have seen yours truly on channel 6, at 6:45. I had been interviewed by WKMG’s Jessica Sanchez on Monday. We discussed the controversy regarding “awake breast augmentation” surgery. Unfortunately, only a very short bit of the TV interview was used. They didn’t […]

Back-log at the FDA

Posted on January 25, 2011

Here is a partial list of products that are awaiting FDA approval. All of them could be significant improvements over what we have now. And these are just a few examples… Fillers: Belotero by Merz, and Aquamid by Contura Botulinum toxins: PurTox by Mentor Breast implants: “gummy bear” form-stable implants – both Allergan and Mentor Fat-grafting: […]

Facial bone structure changes with age

Posted on January 9, 2011

It turns out that it’s more than just the skin and facial fat that undergoes changes as our faces ages. There are changes in the actual shape of the underlying facial skeleton, too. The most recent issue of PRS has an article on this topic, in which CT scans of the facial bones in young, middle-aged, and […]

CNN covers breast reconstruction surgery story

Posted on November 23, 2010

CNN has done a nice human interest story on a lady who had bilateral breast reconstruction after mastectomy and radiation therapy using a fairly new microsurgical technique called the S-GAP flap. The link is here. It’s good to get the word out about these newer options for breast cancer patients. There are several important “teaching points” […]

Fat (cells) good for the heart?

Posted on November 18, 2010

You’ve heard about stem-cell enhanced fat grafts for rejuvenating the face and the hands…but here’s a new & very cool idea: stem cells to fix an ailing heart. Here’s the concept: Do some liposuction, and isolate out the small percentage of fat-derived stem cells from the rest of the fat enzymatically. Take these stem cells, and inject […]

Better pre-op meds for less post-op pain & nausea

Posted on November 16, 2010

Ask anybody what they worry about when they are thinking of having surgery, and I’m willing to bet that answers like “I’m worried that I’ll be in pain or be nauseated” are near the top of the list. What if I told you that, with improved medications prior to surgery, we could make this a […]

Darvon & Darvocet to be withdrawn from U.S. market

Posted on November 12, 2010

The US Food and Drug Administration (FDA) has asked that propoxyphene, (brand names Darvon and Darvocet) be removed from the US market. The decision will also affect generic manufacturers and the makers of propoxyphene-containing products. At a press conference last week, Dr Gerald Dal Pan, director of the FDA’s Office of Surveillance and Epidemiology, said “For the first […]

Collagen fillers discontinued – no more Zyplast & Zyderm

Posted on November 11, 2010

While it seems hard to imagine today, back before the early 1980’s, plastic surgeons didn’t really have any reliable injectable products to use for wrinkle correction or lip enhancement. When Zyplast and Zyderm arrived in the early 80’s, a new generation of of non-surgical corrections via injectable fillers became possible. These bovine-collagen fillers weren’t by any means perfect – […]

Updates & announcements

Posted on November 10, 2010

1. The new e-book “Plastic surgery 101: What to know before your consultation” is now completed and available. Yay! It will be a free download for patients that schedule a consultation, and I hope everyone will find this guidebook to be educational in nature. If our established patients would also like to get a copy, […]

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